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Supplier Registration Form (Non U.S.A.)
 

Setup ID

Please enter the Setup ID that you received in your email.

Required to be setup in the Texas Instruments database.
d
     
Legal Name
Tax Identification Number
DBA
DUNS #
          
 

Physical Address

Remit to address (pay to)

Address Address
   
City City
Region Region
Country Country
Country Code Country Code
Postal Code Postal Code
Area Code & Phone Area Code & Phone
Fax Fax
Email International Wire Payment Form
   
Email address to receive purchase order
                                Web Address (URL) 
    
Required Tax Documentation Required Tax Documentation

In accordance with TI practice and policies, prior to initial payment, Payee will provide TI with valid US tax documentation declaring status of beneficial owner of any income generated by the requested payment. Please review A, B, and C below and respond accordingly.

A. If Payee is a US resident, corporation, or otherwise beneficially owned by a US entity:

  • Payee must provide a valid (authorized signature required), US Form W-9 (or other appropriate US tax declaration form) (W-9, Instructions) and submit to TI via email at simthelp@ti.com
B. If Payee is a non-US or foreign resident, corporation, or otherwise beneficially owned by a non-US or foreign entity (choose from the taxpayer type that best fits your situation):

  • Nonresident Aliens, nonresident individuals
    		 W-8BEN , Instructions
      8233 (if applicable)
      		 8233, Instructions
      • Foreign Corporations
        		 W-8BEN-E, Instructions
        • Foreign Partnerships *
          		 W-8IMY, Instructions
          • Foreign Governments
            		 W-8EXP, Instructions
            • Foreign Grantor Trusts **
              		 W-8BEN-E, Instructions
              • Certain foreign trusts and foreign estates
                		 W-8IMY, Instructions
                • Foreign tax-exempt organizations (including private foundations)
                  		 W-8EXP, Instructions
                  • Nominees
                    		 W-8 used by beneficial owner

                    * A partnership may substitute its own form for the official version of Form W-8 to ascertain the identity of its partners.

                    ** A domestic grantor trust must provide a statement as shown in Sec. 1.1446-1(c)(2)(ii)(e) and documentation for its grantor.

                    C. If TI is licensing intellectual property (IP) rights from your company AND that IP is registered in Germany, TI may be required to withhold on payments made to your company regardless of whether your company has any tax connection to Germany. Please answer the below questions to determine if this withholding applies. If you have any questions, please email german_royalty_compliance@list.ti.com

                    1. Is TI licensing intellectual property (IP) rights from your company? If yes, proceed to (2). If no, please notify TI accordingly at german_royalty_compliance@list.ti.com and no further action is required.
                    2. Is the IP right in question registered in a German public register (e.g., with the German Patent and Trademark Office)? If yes, proceed to (3). If no, please notify TI accordingly at german_royalty_compliance@list.ti.com and no further action is required.
                    3. Please provide a properly issued certificate of exemption that indicates the applicable tax treaty providing relief from German withholding. If you do not have a certificate of exemption, please email german_royalty_compliance@list.ti.com.
                            
                    Environmental, Safety, & Health  
                    Certify Compliance   
                    Do Not Certify Compliance  
                       
                    Are any supplier’s owners, officers, or employees (in positions of influence) current TI Employees or have a close family or domestic Relationships with current TIers, in position of influence.? Yes   No
                       
                    Are any supplier’s owners, officers, or employees (in positions of influence) former TI Employees ? Yes   No
                      
                    If yes (current/former employees, and close family domestic relationships of current employees), please give Names and Employment dates.
                      
                    Special Instructions
                     
                    I certify under penalty of perjury that the Tax Identification Number I have provided is correct
                    Name 
                    Title
                    Country Code
                    Area Code & Phone
                    Email

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                    TEXAS INSTRUMENTS INCORPORATED * SUPPLIER INFORMATION MANAGEMENT

                    P O BOX 650311 * M/S 3913 * DALLAS TX 75265-0311 * FAX 972-917-8777

                    email: simthelp@ti.com

                    20110816